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Insertion small bore feeding tubes??



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May 21, 2008 05:18 PM

Insertion small bore feeding tubes??


Do RN's in any of your hospitals insert weighted nasointestinal (post-gastric) feeding tubes? I am in discussion with our radiologists who would nurses to insert these and get placement x-ray in a few hours. Any practice guideline insights?

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11 Comments
No. 1
from traumaRUs
Old May 21, 2008, 07:20 PM

Default Re: Insertion small bore feeding tubes??
An APN with specific training and competency reviews would not have a problem with it. Unsure if it is in the RN scope of practice though. Would advise checking with your state BON.
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No. 2
from core0
Old May 22, 2008, 02:32 PM

Default Re: Insertion small bore feeding tubes??
Originally Posted by traumaRUs View Post
An APN with specific training and competency reviews would not have a problem with it. Unsure if it is in the RN scope of practice though. Would advise checking with your state BON.
I would agree with the above. The other issue is that while putting down a weighted feeding tube may be within an RN scope of practice, interpreting an X-ray probably is not. You also don't usually get reimbursed for placing these unless you do it under flouro which is another issue.

David Carpenter, PA-C
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No. 3
from ricknick92
Old Jun 05, 2008, 12:11 AM

Default Re: Insertion small bore feeding tubes??
I have worked in a few hospitals and the RN does not insert NG tubes of any kind.
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No. 4
from NurseCutie
Old Aug 01, 2008, 11:40 AM

Default Re: Insertion small bore feeding tubes??
We put in those weighted "Corpacks" or "Dubbhoffs" and they are a pain! They get twisted up so easily and it takes so long to get the x-ray and verify placement. Not good if you have to replace it 2 or 3 times. I'd much rather place a plain NGT. They are so much easier to place.
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No. 5
from SharonH, RN
Old Aug 06, 2008, 07:45 PM

Default Re: Insertion small bore feeding tubes??
Originally Posted by ricknick92 View Post
I have worked in a few hospitals and the RN does not insert NG tubes of any kind.


This is quite surprising. When I was practicing at the bedside we routinely put down Dobhoffs and NG tubes of all types. That is a basic nursing skill. I'm not sure what type of tube OP, trauma and David are referring to. If it is out of RN scope of practice, it must not be a Dobhoff they are speaking of as I was thinking? I've been out of acute care for a few years now, enlighten me guys.
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No. 6
from RNAnnjeh
Old Aug 08, 2008, 08:45 AM
Updated Aug 08, 2008 at 08:46 AM by RNAnnjeh

Default Re: Insertion small bore feeding tubes??
I have also placed weighted NG tubes...anything lower (ND, NJ) had to be done by a radiologist under fluro.

CXR was done to confirm placement but interpreted by MD.
RNAnnjeh
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No. 7
from jer_sd
Old Aug 08, 2008, 01:23 PM

Default Re: Insertion small bore feeding tubes??
Originally Posted by RNAnnjeh View Post
I have also placed weighted NG tubes...anything lower (ND, NJ) had to be done by a radiologist under fluro.

CXR was done to confirm placement but interpreted by MD.
RNAnnjeh
I usually order a kub not chest x-ray. Chesat x-ray you can miss the distal end of the feeding tube.

Jeremy
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No. 8
from SharonH, RN
Old Aug 08, 2008, 04:59 PM

Default Re: Insertion small bore feeding tubes??
Originally Posted by jer_sd View Post
I usually order a kub not chest x-ray. Chesat x-ray you can miss the distal end of the feeding tube.

Jeremy

Yeah, our policy was stat KUB and if done after hours, it was to be read by ER doc.
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No. 9
from SharonH, RN
Old Aug 08, 2008, 05:06 PM

Default Re: Insertion small bore feeding tubes??
Ya know, I just went back and read the OP and she wrote post-gastric. I knew I was missing something. See what happens when you don't read boys and girls? And no we did not do those on the floor. Like trauma, I wonder if it wouldn't be out of our scope of practice.
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